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Nursing and Simulation: Nurses' Collaborative Views

By Mary Brinker posted Wed November 24,2010 11:57 AM

  

What do you think about clinical simulation?

DeSales University(DSU) has been utilizing simulation in all of their BSN programs. It is required that all DSU nursing students participate in a clinical simulation in place of one clinical eight hour experience. Replacement of a eight hour clinical experience does not seem a-lot. In fact, DSU nursing students verbalize how they like it and want more of it, due to the lack of clinical experience on the medical units. Most of our qualitative data has reflected that they like simulation because it allows them to participate in a nursing role more than a student role, therefore creating a sense of the realism of being in the nurse's role in a safe environment. With all this being said my questions are: Should schools of nursing implement more than eight hours of clinical simulation as a clinical experience? Does your school offer more or less?
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Tue January 18,2011 09:31 AM

Hi Terry:
Integration of simulation into a work environment is a great adjunct in evaluating and maintaining clinical quality control. Many of our Hospitals utilize simulation in different ways, so I am told. Our hospitals are using simulation for newly staff orientations, graduate nurses orientations, and seasoned staff quality checks. One example that was given to me is that one of our hospitals will have schedule a graduate nurse on the unit part time taking care of patients and then the other time is utilized in further education time hence simulation is one component of the education piece. I hope this helps. You may contact me at any time @ mary.brinker@desales.edu for further discussion.

Mon January 17,2011 11:12 PM

Nursing educators are in the process of setting up a simulation lab in the hospital to appear as a standard hospital room. I am interested in hearing more about this topic, including integrating caring and how this can be incorporated in work/learning/evaluation.

Fri November 26,2010 04:35 PM

Hi Mary, Are you testing any safey outcomes? If so, which ones?

Fri November 26,2010 11:23 AM

Hi John: Great response, It is great to see how our global sister schools are utilizing simulation. Utilization of the Watson's Theory prior to a simulated experience is a great idea! DeSales is exploring Quality and Safety Education for Nurses (QSEN) for integration into their Simulation Program. We have integrated a grading section onto our clinical grading form. Right now we are evaluating the students' ability to offer quality and safety care as the clinical scenario unfolds.

Thu November 25,2010 01:12 PM

I don't instruct in a school but have some view on simulation as it relates to caring. In the Philippines and recently in China, they have been using simulation to re-enact the 10 caring behaviors from Watson Theory of Caritas from 2008 theory version. Nurses review the clinical scenario of their respective patient with the instructor and identify which caring behavior would be applicable for this situation and then they simulate this in the simulation lab. I think this is critical for nurses to use as they become more familiar with how caring behaviors can be integrated seamlessly into their work day and it has intention of caring. This is especially true for the caring behavior (among the 10 behaviors) of spiritual care which we have found is ranked lowest of the 10 caring behaviors. If we are to test if caring is an intervention of healing, then nurses need to integrate the theory into their practice for testing. Thanks for the topic, Mary!